Podcast
Questions and Answers
What is the purpose of using Heparinized Solution during surgery?
What is the purpose of using Heparinized Solution during surgery?
Which medication is specifically used to relax blood vessels?
Which medication is specifically used to relax blood vessels?
For which condition is a Coronary Artery Bypass Graft (CABG) primarily indicated?
For which condition is a Coronary Artery Bypass Graft (CABG) primarily indicated?
What is the main benefit of using the left internal mammary artery (LIMA) as a graft?
What is the main benefit of using the left internal mammary artery (LIMA) as a graft?
Signup and view all the answers
What is the primary function of a pacemaker?
What is the primary function of a pacemaker?
Signup and view all the answers
What is a significant feature of an Implantable Cardioverter Defibrillator (ICD)?
What is a significant feature of an Implantable Cardioverter Defibrillator (ICD)?
Signup and view all the answers
What surgical procedure is performed to re-establish blood flow to an obstructed leg?
What surgical procedure is performed to re-establish blood flow to an obstructed leg?
Signup and view all the answers
Which of the following types of grafts is considered best for patency and longevity in bypass surgeries?
Which of the following types of grafts is considered best for patency and longevity in bypass surgeries?
Signup and view all the answers
What is the primary goal of performing a CABG procedure?
What is the primary goal of performing a CABG procedure?
Signup and view all the answers
What role does Contrast Dye play in surgical procedures?
What role does Contrast Dye play in surgical procedures?
Signup and view all the answers
What role does the perfusionist play during cardiac surgery?
What role does the perfusionist play during cardiac surgery?
Signup and view all the answers
Which sutures are commonly used for valve repair and replacements?
Which sutures are commonly used for valve repair and replacements?
Signup and view all the answers
What is the primary purpose of the Cardiopulmonary Bypass Machine during surgery?
What is the primary purpose of the Cardiopulmonary Bypass Machine during surgery?
Signup and view all the answers
Where is the venous cannula inserted during a surgical procedure?
Where is the venous cannula inserted during a surgical procedure?
Signup and view all the answers
What is the role of the cardioplegia catheter during surgery?
What is the role of the cardioplegia catheter during surgery?
Signup and view all the answers
During the induction phase of general anesthesia, which patient condition requires close monitoring?
During the induction phase of general anesthesia, which patient condition requires close monitoring?
Signup and view all the answers
What type of blood flows through the pulmonary arteries?
What type of blood flows through the pulmonary arteries?
Signup and view all the answers
Which layer of the heart wall is responsible for the muscular contraction of the heart?
Which layer of the heart wall is responsible for the muscular contraction of the heart?
Signup and view all the answers
What does the number of diseased coronary arteries indicate during surgical preparation?
What does the number of diseased coronary arteries indicate during surgical preparation?
Signup and view all the answers
Which valve regulates blood flow from the right atrium to the right ventricle?
Which valve regulates blood flow from the right atrium to the right ventricle?
Signup and view all the answers
Study Notes
Cardiac Anatomy
- Chambers of the Heart: Right atrium, right ventricle, left atrium, left ventricle.
- Valves: Tricuspid (between right atrium and ventricle), pulmonary (between right ventricle and pulmonary arteries), mitral (between left atrium and ventricle), aortic (between left ventricle and aorta).
- Heart Walls: Epicardium (outer layer), myocardium (muscle layer), endocardium (inner layer).
Blood Circulation
- Deoxygenated Blood Pathway: Superior and inferior vena cava > right atrium > tricuspid valve > right ventricle > pulmonary valve > pulmonary arteries > lungs.
- Oxygenated Blood Pathway: Pulmonary veins > left atrium > mitral valve > left ventricle > aortic valve > aorta > body.
Nursing Interventions
- Cardiac Catheterization Report: Assess stenosis in coronary arteries for potential bypass grafts.
- Coronary Artery Disease Indicators: Number of diseased arteries suggests needed sutures and surgery duration; report may indicate left ventricular function.
- Anesthesia: General anesthesia with endotracheal tube; critical monitoring for patients with ventricular ischemia.
- Surgical Position: Supine position for median sternotomy during valve replacement/repair or coronary artery bypass grafting (CABG).
-
Sutures Used in Surgery:
- Surgipro/Prolene: Synthetic, non-absorbable, monofilament for vessel anastomosis.
- Ticron: Synthetic, non-absorbable, braided for valve repairs; common sizes are #11 and #15.
Cardiopulmonary Bypass Machine (CPBM)
- Function: Temporarily replaces heart and lung function by diverting blood flow.
-
Components:
- Venous Cannula: Diverts deoxygenated blood from right atrium.
- Arterial Cannula: Returns oxygenated blood into the aorta.
- Cardioplegia Catheter: Administers cardioplegia to prevent ischemic damage during surgery.
- Venous Reservoir: Collects venous blood pre-oxygenation and temperature control.
Medications and Solutions in Surgery
- Heparinized Solution: Anticoagulant to reduce clotting during surgery.
- Papaverine: Vasodilator to relax blood vessels and facilitate surgery.
- Contrast Dye: Visualizes blood vessels during imaging.
Coronary Artery Bypass Grafts (CABG)
- Indication: Patients with left main or three-vessel coronary artery disease (CAD).
- Goal: Revascularize ischemic myocardium to alleviate angina pectoris.
-
Graft Choices:
- LIMA: Left internal mammary artery for left anterior descending artery.
- RIMA: Right internal mammary artery for right coronary artery.
- Advantages of Mammary Arteries: Excellent long-term patency and already connected to aorta.
Pacemaker
- Purpose: Senses and corrects bradycardia/tachycardia to restore normal heart rhythms; initiates heart contractions.
Implantable Cardioverter Defibrillator (ICD)
- Function: Monitors and delivers shocks for ventricular tachycardia or fibrillation; can pace the heart.
Femoral Popliteal Bypass
- Indication: Restores blood flow to one leg when major arterial blockage occurs.
- Graft Choice: Saphenous vein is preferred for its long-term durability.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Explore the anatomy of the heart including its chambers, valves, and walls. This quiz focuses on the flow of deoxygenated and oxygenated blood through the heart and major vessels. Understand the nursing interventions related to cardiac care.
